Does Maternal HIV Disclosure Self-Efficacy Enhance Parent-Child Relationships and Child Adjustment?
Does Maternal HIV Disclosure Self-Efficacy Enhance Parent-Child Relationships and Child Adjustment?
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DOI：
10.1007/s10461-018-2042-4
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发表时间：
2018-12-01
影响因子：
4.4
通讯作者：
Murphy, Debra A.
中科院分区：
文献类型：
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作者：
Armistead, Lisa;Goodrum, Nada;Murphy, Debra A.
不向幼儿披露母亲的艾滋病毒状况会对儿童的功能产生负面影响;然而，许多母亲由于缺乏披露过程的自我效能而不披露。本研究探讨人口的变化，在披露自我效能感，无论意图披露，并评估自我效能感和儿童调整之间的关系，通过亲子关系样本的HIV阳性母亲和他们的健康儿童（N=181对）。母亲完成了人口统计学和自我效能的测量;儿童完成了评估亲子关系和儿童适应的测量（即，焦虑、自我概念、抑郁）。在人口统计学上，很少有母亲报告对披露有信心。协方差结构模型的结果表明，母亲赞同更高的自我效能感的孩子谁报告更好的关系质量，反过来，报告较少的调整困难，更高水平的披露自我效能感也直接预测较少的调整问题。调查结果提供支持干预措施，旨在为母亲提供技能，以提高信心，披露其艾滋病毒状况。
Nondisclosure of maternal HIV status to young children can negatively impact child functioning; however, many mothers do not disclose due to lack of self-efficacy for the disclosure process. This study examines demographic variations in disclosure self-efficacy, regardless of intention to disclose, and assesses the relationship between self-efficacy and child adjustment via the parent-child relationship among a sample of HIV+mothers and their healthy children (N=181 pairs). Mothers completed demographic and self-efficacy measures; children completed measures assessing the parent-child relationship and child adjustment (i.e., worry, self-concept, depression). Across demographics, few mothers reported confidence in disclosure. Results from covariance structural modeling showed mothers endorsing higher self-efficacy had children who reported better relationship quality, and, in turn, reported fewer adjustment difficulties; higher levels of disclosure self-efficacy also directly predicted fewer adjustment problems. Findings offer support for interventions aimed at providing mothers with skills to enhance confidence for disclosing their HIV status.